What nickname is commonly used for the Resources for Optimal Care of the Injured Patient?
The Grey Book
Which coding system reports diagnoses and injuries?
ICD-10-CM
How many characters are in every ICD-10-PCS code?
Seven
This process involves reviewing the medical record and entering trauma data into the registry.
Abstraction
GCS is used to determine a patient's _______?
Neurological status
What publication contains the official national trauma registry data definitions?
NTDB Data Dictionary
What chapter contains most traumatic injury diagnosis codes?
Chapter 19 (S00-T88)
What does the third character represent?
Root operation
This measure evaluates whether required trauma cases are being captured.
What is case finding?
The FAST exam is used for identifying fluids in ________?
Abdomen, chest, pericardial sac
What organization publishes the AIS coding manual?
AAAM (Association for the Advancement of Automotive Medicine)
The EMS runsheet provides the following information to assist in determining the MOI which assists with coding what?
External cause code
Which root operation means “cutting into a body part without removing it”?
Division
Trauma registrars often collaborate with this committee to identify opportunities for system improvement.
What is the Performance Improvement (PI) Committee?
A motorcyclist sustains a deep laceration to his peroneal nerve; this injury is located in his ____.
Leg
A registrar is unsure how NTDB defines "Emergency Department Discharge Disposition". Which reference should be consulted first?
NTDB Data Dictionary
What does the 7th character "A" generally indicate?
Initial encounter
Which root operation is used when fractured bones are restored to their normal position?
Reposition
What operation repairs an injured blood vessel?
Vascular repair
An open book fracture refers to _____________.
Instability of pelvic bones
Which publication provides the official rules for assigning AIS codes and severities?
AIS Dictionary
What is the purpose of a placeholder “X” in ICD-10-CM?
To hold a place so the code reaches the required length
A laparoscopic appendectomy removes the entire appendix. Which root operation applies?
Resection
What procedure places a tube into the pleural space to treat a pneumothorax or hemothorax?
Tube thoracostomy (chest tube insertion)
Stab wounds, impalement, and shotgun wounds are grouped into ________ injuries.
Penetrating